Aila J. Ahola , Laura-Unnukka Suojanen , Anu Joki , Kirsi H. Pietiläinen
{"title":"参加健康体重指导的芬兰超重或肥胖症患者的孤独感及其与健康、健康行为和认知的横断面关联。","authors":"Aila J. Ahola , Laura-Unnukka Suojanen , Anu Joki , Kirsi H. Pietiläinen","doi":"10.1016/j.ypmed.2024.108032","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>To investigate cross-sectional associations between loneliness and health, health behaviours, and perceptions in Finnish individuals with overweight or obesity (BMI ≥25 kg/m<sup>2</sup>).</p></div><div><h3>Methods</h3><p>We used baseline data from patients participating, in 2016–2022, in a real-life digital 12-month weight management program known as Healthy Weight Coaching. Patients completed several questionnaires such as those related to loneliness, healthcare resource utilization, physical activity, and life satisfaction. BMI was computed based on self-reported weight and height. In addition to investigating individual health variables, we studied the association between loneliness and factor-analysis-derived health and wellbeing clusters.</p></div><div><h3>Results</h3><p>Data were available from 2000 individuals (16.7% men, median age 48 years, median BMI 39.2 kg/m<sup>2</sup>). Altogether, 11.6%, 42.4%, and 46.0% reported feeling lonely, somewhat lonely, and not lonely, respectively. Feeling lonely was associated with higher BMI, greater healthcare resource utilization, lower life satisfaction, burdensomeness of life, more negative perceptions related to obesity and to the upcoming coaching, lower daytime energy, and reduced 20-min brisk walk results, a measure of functional capacity. Of the five factor-analysis-derived clusters, loneliness was adversely associated with “Life satisfaction” [lonely, 0.337 (0.270–0.421), <em>p</em> < 0.001; somewhat lonely, 0.545 (0.475–0.625), p < 0.001]. Moreover, loneliness associated with “Negative perceptions of obesity/daytime fatigue” [lonely, 4.627 (3.391–6.314), <em>p</em> < 0.001; somewhat lonely 2.021 (1.694–2.412), p < 0.001], and “Obesity/low physical activity” [lonely, 1.474 (1.105–1.966), <em>p</em> = 0.008; somewhat lonely, 1.220 (1.019–1.460), <em>p</em> = 0.030].</p></div><div><h3>Conclusions</h3><p>Loneliness had several untoward associations with health, health behaviours, and perceptions. Further research should explore the intricate relationship between obesity, loneliness, and physical and psychosocial health.</p></div><div><h3>Trial registration</h3><p>The trial is registered at clinicaltrials.cov (Clinical Trials Identifier <span>NCT04019249</span><svg><path></path></svg>).</p></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":null,"pages":null},"PeriodicalIF":4.3000,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Loneliness and its cross-sectional associations with health, health behaviours, and perceptions in Finnish patients with overweight or obesity taking part in the Healthy Weight Coaching\",\"authors\":\"Aila J. Ahola , Laura-Unnukka Suojanen , Anu Joki , Kirsi H. Pietiläinen\",\"doi\":\"10.1016/j.ypmed.2024.108032\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>To investigate cross-sectional associations between loneliness and health, health behaviours, and perceptions in Finnish individuals with overweight or obesity (BMI ≥25 kg/m<sup>2</sup>).</p></div><div><h3>Methods</h3><p>We used baseline data from patients participating, in 2016–2022, in a real-life digital 12-month weight management program known as Healthy Weight Coaching. Patients completed several questionnaires such as those related to loneliness, healthcare resource utilization, physical activity, and life satisfaction. BMI was computed based on self-reported weight and height. In addition to investigating individual health variables, we studied the association between loneliness and factor-analysis-derived health and wellbeing clusters.</p></div><div><h3>Results</h3><p>Data were available from 2000 individuals (16.7% men, median age 48 years, median BMI 39.2 kg/m<sup>2</sup>). Altogether, 11.6%, 42.4%, and 46.0% reported feeling lonely, somewhat lonely, and not lonely, respectively. Feeling lonely was associated with higher BMI, greater healthcare resource utilization, lower life satisfaction, burdensomeness of life, more negative perceptions related to obesity and to the upcoming coaching, lower daytime energy, and reduced 20-min brisk walk results, a measure of functional capacity. Of the five factor-analysis-derived clusters, loneliness was adversely associated with “Life satisfaction” [lonely, 0.337 (0.270–0.421), <em>p</em> < 0.001; somewhat lonely, 0.545 (0.475–0.625), p < 0.001]. Moreover, loneliness associated with “Negative perceptions of obesity/daytime fatigue” [lonely, 4.627 (3.391–6.314), <em>p</em> < 0.001; somewhat lonely 2.021 (1.694–2.412), p < 0.001], and “Obesity/low physical activity” [lonely, 1.474 (1.105–1.966), <em>p</em> = 0.008; somewhat lonely, 1.220 (1.019–1.460), <em>p</em> = 0.030].</p></div><div><h3>Conclusions</h3><p>Loneliness had several untoward associations with health, health behaviours, and perceptions. Further research should explore the intricate relationship between obesity, loneliness, and physical and psychosocial health.</p></div><div><h3>Trial registration</h3><p>The trial is registered at clinicaltrials.cov (Clinical Trials Identifier <span>NCT04019249</span><svg><path></path></svg>).</p></div>\",\"PeriodicalId\":20339,\"journal\":{\"name\":\"Preventive medicine\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":4.3000,\"publicationDate\":\"2024-06-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Preventive medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0091743524001877\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Preventive medicine","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0091743524001877","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Loneliness and its cross-sectional associations with health, health behaviours, and perceptions in Finnish patients with overweight or obesity taking part in the Healthy Weight Coaching
Objective
To investigate cross-sectional associations between loneliness and health, health behaviours, and perceptions in Finnish individuals with overweight or obesity (BMI ≥25 kg/m2).
Methods
We used baseline data from patients participating, in 2016–2022, in a real-life digital 12-month weight management program known as Healthy Weight Coaching. Patients completed several questionnaires such as those related to loneliness, healthcare resource utilization, physical activity, and life satisfaction. BMI was computed based on self-reported weight and height. In addition to investigating individual health variables, we studied the association between loneliness and factor-analysis-derived health and wellbeing clusters.
Results
Data were available from 2000 individuals (16.7% men, median age 48 years, median BMI 39.2 kg/m2). Altogether, 11.6%, 42.4%, and 46.0% reported feeling lonely, somewhat lonely, and not lonely, respectively. Feeling lonely was associated with higher BMI, greater healthcare resource utilization, lower life satisfaction, burdensomeness of life, more negative perceptions related to obesity and to the upcoming coaching, lower daytime energy, and reduced 20-min brisk walk results, a measure of functional capacity. Of the five factor-analysis-derived clusters, loneliness was adversely associated with “Life satisfaction” [lonely, 0.337 (0.270–0.421), p < 0.001; somewhat lonely, 0.545 (0.475–0.625), p < 0.001]. Moreover, loneliness associated with “Negative perceptions of obesity/daytime fatigue” [lonely, 4.627 (3.391–6.314), p < 0.001; somewhat lonely 2.021 (1.694–2.412), p < 0.001], and “Obesity/low physical activity” [lonely, 1.474 (1.105–1.966), p = 0.008; somewhat lonely, 1.220 (1.019–1.460), p = 0.030].
Conclusions
Loneliness had several untoward associations with health, health behaviours, and perceptions. Further research should explore the intricate relationship between obesity, loneliness, and physical and psychosocial health.
Trial registration
The trial is registered at clinicaltrials.cov (Clinical Trials Identifier NCT04019249).
期刊介绍:
Founded in 1972 by Ernst Wynder, Preventive Medicine is an international scholarly journal that provides prompt publication of original articles on the science and practice of disease prevention, health promotion, and public health policymaking. Preventive Medicine aims to reward innovation. It will favor insightful observational studies, thoughtful explorations of health data, unsuspected new angles for existing hypotheses, robust randomized controlled trials, and impartial systematic reviews. Preventive Medicine''s ultimate goal is to publish research that will have an impact on the work of practitioners of disease prevention and health promotion, as well as of related disciplines.